8/16/2019 Formulir Perdaftaran Diklat_Uji

http://slidepdf.com/reader/full/formulir-perdaftaran-diklatuji 1/1

 

!"#$%&'#

)*+,-!.-#-+ )*/*#.- )*&-.'0-+ 1 %2' 3"$)*.*+/'

"#$# %&'()#*##+ , ---------------------------------------------------".$.' /&0&1.+ , ---------------------------------------------------

23$#40 , ---------------------------------------------------

5.+6#76 %&').+ , ---------------------------------------------------

8#9#6#+ , ---------------------------------------------------

:0#$#6 , ---------------------------------------------------

%'.;'#$ <#+; #=#+ >44=(64 , ?4=0#6 @A4 =.$1&6&+)4------------------------ --------------------------------------------------------

/&$1#6 B /#+;;#0 , --------------------- /#+;;#0 ----------------------------

)454678

+9 +8:8 )454678 28;878<

)4<8<==><= ?8@8; A

"#$# , -----------------------/#+># /#+;#+ , --------------------- /;0 ,---B----B-------

C4#<# ?4=0#6 >#+ @A4 %D% #BC DCDEECEEEFG >#+ %DE #BC HECDEECEEEFG C4#<# )(>#* 6&'$#)(= 94#<# @A4

F.$1&6&+)4 >#+ %&+;4+#1#+ %&)&'6#G

C4#<# @A4 F.$1&6&+)4 /#+1# ?4=0#6 )") #BC ICJEECEEEH3 >#+ )"$ #BC KCJEECEEEH3 C4#<# 64>#= 6&'$#)(=

%&+;4+#1#+ 1&)&'6# )&0#$# @A4

%&$9#<#'#+ >#1#6 >46'#+)I&' =& ,

/'#+)I&' J4# C#+= E#+>4'4 5#9#+; =#+6.' F#) "&;#'#

:+G %/ :KKLML LDK@/ND"L ".G '&= , OOPGOOOPQRPSPS

F&6&'#+;#+ ,

TG  %&$9#<#'#+ >40#=(=#+ )&9&0($ 1&0#=)#+##+ ?4=0#6 >#+ @A4 F.$1&6&+)4

UG  C(=64 1&$9#<#'#+ >#1#6 >4=4'4$=#+ =& *)(6#+6.V#00)<)3).0(64.+)G7.$ #6#( I4I4V#00)<)3

).0(64.+)G7.$ 

PT ALLSYS SOLUTIONSHead Office : Gedung Balanta Budiprima lt.2 Jl. Utan Kayu Raya Nomor 102. Jakarta Timur 13120-Indonesia 

Operation Office : Ruko Harapan Indah Blok AA-01 Kota Harapan Indah Bekasi Indonesia 17151 Telp. 021-88865924, 88865925 Fax. 021-88865923

Email : 6'#4+4+;V#00)<)3).0(64.+)G7.$ #6#( $#'=&64+;V#00)<)3).0(64.+)G7.$ 

.4:B87 %?L 39:B474<5L M.%3N -OO5P5 /9O>7L9<5 , W.6&0 L.&+ %(+7#= X 80G 54=.1. L&0#6#+ ".G YO X Z#>.; X %(+7#= X C.;.'

htt ://www.alls s-solutions.com